HomeMy WebLinkAboutHomestead_Market (6) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
liDLPREPARERi. x __ - 4 sties .. - ,,)
Becky King Closing Services
Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd., Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville. IN 47715 812-759-5555 becks.king(ahregionaltitlellc.com
City.State,and ZIP Code Telephone Number E-mall
:EiSELLER(S)/GRAN:TOR(S)S., `_`_ m.--'7 s;77 FYiv :t 71 v;f€7:^3:, . ,--n ,C, T
Cnitnn Ledbetter
Seller I-Name as appears an conveyance document Seller 2-Name as appears on conveyance document
327 N hihsnn St
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
Under t •nalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief;is true,correct
and c,+ pl-to aid-quired b aw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
sr. ••••-- �%� a ��re f Seller --Signature of Seller
f:olton I prihettpr 04/22/2016
Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name of Seller Slpn Date(MM/DD/MY)
I'FsBUYER(S)%GRANTEE(S)Y•APPh iGATIONIEOlabg.ERViti tAXDEDU.GTIONSiIDENTIF.Y,APIPITEM5THAT:AEP,LYL. 7..: 7-- :'t-- j
Taylor B Market
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
6088 South 1050 West
Address(Number and Street) Address(Number and Street)
Owensville,IN 47665 {
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSEEY P. s:',Y: ,V
YES NO CONDITION Y�-E-Sf NO CONDITION C�(ry�ea., ,
d ❑ 1.Will this property be the buyer's primary EM ❑ 3. Homestead qo•
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling S}�s
residence,including county: ❑
S.Wind Power Device
327 N Gibson St
Address(Numbe r and Street) ❑ Fl 6.Hydroelectric Power Device
Princeton IN 47670 Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
City,State IP Code County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 4 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) -S�
0'� -/a- O 2—,C163- Ood_t d
City,State ZIP Code County
Primary property owner contact name E-mail
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